Organization
MEDLANTIC HEALTHCARE GROUP, INC.
Active
Other names
EMC Emergency Physicians - Franklin Square Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SMITH MD (OWNER)
(800) 355-0808
Entity
Organization
Contact information
Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7068
Mailing address
PO BOX 7206, PHILADELPHIA, PA 19101-7206
(800) 355-0808
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027081800
—
DC
01
—
1-LK61-EM
BLUE SHIELD
MD
01
—
147747000
US DEPARTMENT OF LABOR
MD
01
—
147747001
US DEPARTMENT OF LABOR
MD
01
—
147747002
US DEPARTMENT OF LABOR
DC
05
—
360102100
—
MD
05
—
360102101
—
MD
05
—
360102102
—
MD
01
—
J879
BLUE SHIELD
DC
Enumeration date
10/31/2007
Last updated
03/12/2010
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